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diagnosis differential workup algorithm gastroenterology chronic management causes clinical nephrology ileum metabolic transplant video villi 5asa acidosis alkalosis bowel colitis
Colonoscopy Followup Intervals 10 years: Normal colonoscopy, ≥ 20 HP < 10mm 7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... , Adenoma with villous ... serrated polyps #Colonoscopy
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... intolerance suspected, Colonoscopy ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy ... / #Chronic #Diarrhea
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Evaluation of Chronic Diarrhea ... Causes of acute diarrhea ... occult blood - Colonoscopy ... syndrome, Factitious diarrhea ... ) #Chronic #Diarrhea
Bullous Myringitis on Otoscopic Examination Normal tympanic membrane...ABNORMAL tympanic membrane! Treatment? Treat like any other otitis media
Bullous Myringitis ... @DrSarahEM #Bullous ... Clinical #Photo #OtitisMedia
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Assessment (bloody diarrhea ... UC > non-bloody diarrhea ... ) • FCP, CRP, Colonoscopy
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
Diarrhea Workup ... testing negative and diarrhea ... Colonoscopy +/- ... malabsorption #Diarrhea
Chronic Diarrhea - Differential Diagnosis Algorithm Steatorrhea - Maldigestive • Pancreatic Insufficiency - Primary
Chronic Diarrhea ... Secretory • Villous ... Lymphoma #Chronic #Diarrhea
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Loss of HCO3 - Diarrhea ... laxative abuse - Villous
A “villous dance show” in the terminal ileum. Visualization of villi in the terminal ileum
A “villous dance ... High-Definition colonoscopy ... #ileum #villi #colonoscopy
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 A “villous dance show” in the terminal ileum. Visualization of villi in the terminal ileum
A “villous dance ... High-Definition colonoscopy ... #ileum #villi #colonoscopy
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